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BARTER CONTRACT/EXCHANGE AGREEMENT

Name of Offeror (Entity initiating barter offer):___________________________________________________________________


Address: ____________________________________________ City/State/Zip: ___________________________________________
Contact Name: ________________________________________ Title: _________________________________________________
Phone: ________________________ Fax: _________________________________ Email: _________________________________
WHAT DO YOU (OFFEROR) OFFER FOR BARTER?
Describe product(s) and/or service(s): ____________________________________________________________________________
Condition If applicable: ( ) New ( ) Used Price: $_____________________
If offering service(s), is this a flat rate or an hourly rate? _____________________
If hourly rate, how many hours are you offering? ___________________________
Applicable State Tax (to be paid separately): ______________________________
If offering products:
Manufacturer: _________________________ Year ______________ Delivery Method (if applicable: ________________
Model #: ________________________________________________ Who will pay for delivery? ____________________
Serial #: _________________________________________________
How much is the monetary value of your bid to Offeree for barter? ____________________________________________________
Does your bid exceed the price of your item and/or service? ( ) YES ( ) NO
If so, how will you pay the remainder? ____________________________________________________________________________
WHAT DO YOU (OFFEROR) REQUEST OF OFFEREE (ENTITY ACEPTING BARTER OFFER)?
What product(s) and/or service(s) do you wish to obtain from your bartering partner? _______________________________________
____________________________________________________________________________________________________________
Describe item(s) and/or service(s) in more detail to obtain a quote: ______________________________________________________
Delivery Method (if applicable): _______________________________ Who will pay for delivery? ___________________________

This agreement is between _____________________________________ and _______________________________, who jointly


agree to be bound by the following terms and conditions when bartering products and/or services as outlined above.
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It is understood by both parties that completion and submission of this form by Offeree to Offeror represents the
intent of Offeree to enter into a legally binding contract. Upon acceptance of the product(s) and/or service(s) within
the bid amount of Offeror, Offeree agrees to submit payment for product(s) and/or service(s) via barter and other
means (check, money order or credit card), as arranged. Each party agrees to inform the other of all anticipated fees
before commencement of any exchange of product(s) and/or service(s).
Both parties attest that they are freely/legally entering into this agreement and will abide by its directives and
requirements.
Both parties will adhere to the price set by each as final. Both parties attest that the pricing for product(s) and/or
service(s) represents fair market value, to the best of their knowledge, within that industry.
Both parties represent and warrant that the product(s) and/or service(s) offered for barter can legally be sold by them
and their assigned agents or dealers and have full power to make this agreement. They also represent and warrant that
the product(s) and/or services do not infringe upon any statutory copyright or upon any common law rights, proprietary
rights or any other rights whatsoever.
Each party shall indemnify, defend and hold harmless the other, its officers, trustees, agents assigns, and employees,
from and against any and all claims, demands, suits, losses, liabilities and costs, including attorneys fees, arising out of
any alleged breach of the foregoing warranties or any alleged violation of copyright or other property rights.
Both parties agree to adhere to the delivery schedule as set by the parties. They further agree to deliver product(s)
and/or service(s) in good condition.
Both parties attest that all information included on this contract is true, to the best of their knowledge.
If a party opts to terminate the barter arrangement, that party agrees to compensate the other party fairly for any
product(s) and/or service(s) provided to date of termination notice.

__________________________________________
OFFEROR CONTACT NAME

SIGNATURE

__________________________________________
OFFEREE CONTACT NAME

______________________________________ ____________________
DATE

______________________________________ _____________________
SIGNATURE

--- WITNESSES AND/OR NOTARIZATION MAY BE REQUIRED ---

DATE